US HHS launches AI initiative to detect fraud and waste in health programs


FILE PHOTO: Signage for the Department of Health and Human Services (HHS) at the Mary E. Switzer Memorial Building in Washington, D.C., U.S., on April 1, 2025. REUTERS/Kevin Lamarque/File Photo

May 21 (Reuters) - The U.S. ⁠Department of Health and Human Services said on ⁠Thursday it has launched a new AI-led initiative ‌to review annual audits to strengthen oversight across federally funded health programs amid concerns around widespread fraud.

The program, called the Audit Enforcement and Risk ​Oversight initiative, or AERO, will review ⁠at least five years ⁠of audit records of HHS-funded programs across all 50 states, ⁠the ‌department said.

The move comes after the Trump administration in March launched a national anti-fraud task force ⁠led by Vice President JD Vance that aims ​to crack ‌down on healthcare scams.

The administration said earlier this month ⁠it will ​block new home healthcare and hospice providers from enrolling in Medicare for at least the next six months, citing concerns about ⁠fraudulent practices.

HHS said hundreds of grantees ​have not submitted their required audits, with some late by more than two years.

The agency said it will work collaboratively ⁠with states and grantees to address audit findings and strengthen internal controls, and may take measures such as temporarily withholding payments, cutting off grants entirely, or withholding future funds ​from recipients that fail to resolve ⁠the issues.

Under federal law, non-federal entities, including states, local governments, ​nonprofits, and higher education institutions, that ‌spend at least $1 million annually ​in federal funds are subject to audit requirements.

(Reporting by Padmanabhan Ananthan in Bengaluru; Editing by Shailesh Kuber)

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